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Organization
AVALON ASSISTED LIVING
Active
Organization
AVALON ASSISTED LIVING
Active
Parent organization
PEACE OUTLOOK INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEACE OUTLOOK INC.
Authorized official
GUERDITH MICHEL (OWNER/ADMINISTRATOR)
(786) 859-6824
Entity
Organization
Contact information
Practice address
2580 E FIRST ST, FORT MYERS, FL 33901-2410
(239) 479-5282
(239) 479-7781
Mailing address
2580 E FIRST ST, FORT MYERS, FL 33901-2410
(239) 479-5282
(239) 479-7781
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL12029
FL
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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